# YAHWEH CENTER CHILDRENS VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yahweh Center Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871925644
- **Authorized official:** MRS. CARLA ROBERTS (FOUNDER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 675-3533

## Contact information

- **Practice address:** 5103 LAMB'S PATH WAY, CASTLE HAYNE, NC 28429
- **Practice address phone:** (910) 675-3533
- **Mailing address:** PO BOX 10399, WILMINGTON, NC 28404-0399
- **Mailing address phone:** (910) 675-3533
- **Mailing address fax:** (910) 675-3405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL065-176 | NC | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 08/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3404522 | — | NC |